Management of Multiple Arteriovenous Malformations of the Small Bowel
Joint Authors
Miyanishi, Koji
Takada, Kohichi
Kobune, Masayoshi
Kato, Junji
Hirakawa, Masahiro
Ishizuka, Rie
Sato, Masanori
Hayasaka, Naotaka
Ohnuma, Hiroyuki
Murase, Kazuyuki
Ito, Tatsuya
Nobuoka, Takayuki
Takemasa, Ichiro
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 62-year-old Japanese female was referred to our hospital with gastrointestinal bleeding.
Although small-bowel bleeding was suspected, no bleeding source was identified by enhanced computed tomography (CT), video capsule endoscopy (VCE), and double-balloon enteroscopy (DBE).
Five years later, the patient had recurrent intermittent bloody stools with a significant decrease in hemoglobin levels.
Although no active bleeding was observed on antegrade DBE, we detected a pulsatile submucosal uplift accompanied by a small red patch on the top of the uplift in the jejunum.
Arteriovenous malformation (AVM) was suspected as the cause of small-bowel bleeding.
Multiple-phase CT showed a number of small vascular ectasias during the arterial phase in the jejunum, and we confirmed the presence of multiple AVMs in the jejunum by selective angiography.
To identify the location of the lesions and determine the minimal surgical margins, we performed intraoperative selective angiography with indocyanine green (ICG) injection.
This technique allowed us to clearly observe the region and perform segmental small-bowel resection with minimal surgical margin.
The patient reported that she has had no gastrointestinal bleeding at the two years follow-up visit.
American Psychological Association (APA)
Hirakawa, Masahiro& Ishizuka, Rie& Sato, Masanori& Hayasaka, Naotaka& Ohnuma, Hiroyuki& Murase, Kazuyuki…[et al.]. 2019. Management of Multiple Arteriovenous Malformations of the Small Bowel. Case Reports in Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1137234
Modern Language Association (MLA)
Hirakawa, Masahiro…[et al.]. Management of Multiple Arteriovenous Malformations of the Small Bowel. Case Reports in Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1137234
American Medical Association (AMA)
Hirakawa, Masahiro& Ishizuka, Rie& Sato, Masanori& Hayasaka, Naotaka& Ohnuma, Hiroyuki& Murase, Kazuyuki…[et al.]. Management of Multiple Arteriovenous Malformations of the Small Bowel. Case Reports in Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1137234
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137234